About You

First Name (required)

Last Name (required)

Address (required)

City (required)

State (required)

Zip (required)

Phone

Current Grade & School (required)

Email (required)

Reference Information

Please provide information for one reference that knows your work and agreed to be contacted for additional information, if needed.

Name of reference (required)

Relationship (e.g. instructor, counselor, mentor, professional artist) (required)

Email address of reference (required)

Statement of Goals

In 250 words or less, please use the space below to explain the intent of your work and your inspiration. Also state your post high school educational and/or professional goals, regardless of whether or not you intend to continue formal education in the visual arts.

Artwork Information

Complete one label for each of the 5 artworks.

Piece #1

Name of Artist (required)

Title of Piece #1 (required)

Medium (required)

Dimensions (required)

Piece #2

Name of Artist (required)

Title of Piece #2 (required)

Medium (required)

Dimensions (required)

Piece #3

Name of Artist (required)

Title of Piece #3 (required)

Medium (required)

Dimensions (required)

Piece #4

Name of Artist (required)

Title of Piece #4 (required)

Medium (required)

Dimensions (required)

Piece #5

Name of Artist (required)

Title of Piece #5 (required)

Medium (required)

Dimensions (required)

Submission of Artwork

I am sending the digital photos of my 5 artworks (choose 1)

 By email to submissions@theclarefund.org By mailing them on a CD or DVD to the address below:

The Clare Fund
c/o Wendy Snetsinger
900 Fox Hill Road
State College, PA 16803

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